| NPI | 1043436827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 47345) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-01066) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-09-17 |